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​Health and Care Devolution for Lewisham

London aspires to be the healthiest major global city. Last week, the Mayor of London, Secretary of State for Health Jeremy Hunt, London Councils and NHS, Public Health and wider health and care leaders signed a ground –breaking devolution deal that will lead to improvements in health and care in London and bring health and care service closer together.

The landmark agreement gives the Mayor, London Councils and health leaders more control over health and care in the capital, leading to more joined –up services for Londoners. 

Lewisham is one of five devolution pilots across London led by the Lewisham Health and Care Partners (LHCP).  They are a strategic partnership of health and social care commissioners and providers committed to working in new and different ways to deliver real benefits for the Lewisham population.  The devolution pilot focuses on two key areas; estates and workforce to achieve the following:

  • The removal of unnecessary restrictions that apply to the use and disposal of our estate. This will enable us to unlock the capital for re-investment within our own borough to provide fit for purpose premises, make services more accessible and develop new provision where required.
  • The development of a more flexible workforce to work and support residents in their own homes.

Dr. Marc RMarc Rowland.jpgowland, Chair of the London Clinical Commissioning Council and Lewisham CCG said: "This announcement paves the way for improving the health and  wellbeing of over 8.6 million Londoners. It has been an exceptional journey of partnership working at local and London-level to get us to this milestone. Devolution provides the foundations to enable us to improve the way health and care services are delivered in the capital at a faster pace.

 "Through the work of the pilots over the past year we have learned much more can be done to prevent ill-health, support people to make healthier choices and to join up health and care. Being able to reinvest money from selling NHS land and estate back into Lewisham is a huge step in helping to ensure buildings and primary care facilities are modern and more suitable for our patients."



A key project within the workforce part of the devolution programme has just started. Phase 1 of a pilot to bring district nurses and care workers together as one team in Neighbourhood 2 (Central Lewisham) is now live. This phase will run until Christmas and will involve the lead nurse working with a range of staff from Eleanor Home Care to identify who the team will work with, how they can work differently and what training and support is needed to help that.

Phase 2 will run for 16 weeks from January and will involve 3 district nurses working with up to 10 care workers to manage the care of up to 30 people. The pilot will test:

  • How district nurses and care workers can work better together to provide more co-ordinated, person centred care and support.
  • How more flexible roles across nursing and home care could develop in the future  
  • Ways to link assessments in district nursing and home care.
  • Opportunities to work more effectively with other health and care services and the voluntary sector.